Value of the autotransfusion of blood recovered from the post-operative wound in arthroplasty patients
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2009, Vol 11, Issue 5
Abstract
SummaryThe authors present their experiences with autotransfusion of blood recovered from the post-operative wound in 178 patients after a hip or knee arthroplasty operated on in 2006 and 2007.Material and methodWe operated on 93 women and 63 men who underwent 33 emergency and 123 elective hip arthroplasties and 22 women who underwent elective knee arthroplasty. We used Unomedical’s HandyVac ATS apparatus to recover and then auto-transfuse blood from the post-operative wound. Hemoglobin and hematocrit levels were determined in all patients before surgery and at 6 and 12 hours post-operatively.ResultsFor the entire group of 178 patients, we recovered 64,600 ml of blood by draining the post-operative wound. Of these, 112 (62.9%) patients did not require additional transfusions of allogeneic blood. Of the 123 patients who underwent elective hip arthroplasty, 28 women and 4 men required additional transfusions of allogeneic blood products. Of the 33 patients who underwent emergency surgery, 19 women and 6 men received allogeneic transfusions. Of the 22 female patients with gonarthrosis, 9 required allogeneic transfusion. The mean decrease in hemoglobin following the operation and autotransfusion of blood recovered from the post-operative wound was 2.76 g% in women and 2.91 g% in men after elective hip arthroplasty, and 2.15 g% after knee arthroplasty. In patients following emergency surgery, hemoglobin levels decreased by a mean of 3.2 g% in women and 3.1 g% in men.ConclusionsAutotransfusion of blood recovered from the post-operative wound in patients after arthroplasty makes it possible to avoid transfusion of allogeneic blood products and reduces the postoperative decrease in hemoglobin levels.
Authors and Affiliations
Marek Rojewski , Roman Król , Ryszard Krzykawski , Paweł Prochacki
Keywords
Related Articles
- EP ID EP56948
- DOI -
- Views 115
- Downloads 0
Otwarte uszkodzenia nerwów kończyn dolnych – zasady postępowania diagnostyczno-terapeutycznego
Wstęp. Uszkodzenia nerwów kończyn dolnych w przebiegu zranień często są nierozpoznawane bezpośrednio po urazie. Celem pracy była analiza lokalizacji otwartych uszkodzeń nerwów, mechanizmu i rozległości uszkodzenia oraz z...
Zakażenie narządu ruchu patogenem Salmonelli enteritidis – opis przypadku.
W pracy przedstawiono problemy diagnostyki i leczenia dwóch pacjentów z krwiopochodnym zakażeniem stawu biodrowego i trzonu kości ramiennej wywołanym Salmonellą enteritidis (S.enteritidis). Przypadki te stanowiły 4,6 % s...
Ruchomość stawów biodrowych u tancerzy. Doniesienie wstępne.
Wstęp. Celem niniejszej pracy była ocena wpływu tańca na ruchomość stawów biodrowych, a także ocena związku pomiędzy czynnymi ruchami w stawach biodrowych a urazowością u tancerzy, co może być istotne w planowaniu proces...
Periprosthetic fractures of the femur after total hip arthroplasty: etiology and outcome
Background. This article reports on our experience in the management of periprosthetic fractures of the femur.Materials and methods. We studied 44 patients (39 women and 5 men) with periprosthetic fractures of the femur...
Slipped capital femoral epiphysis in identical twins – a case report
Background. The pathoetiology of slipped capital femoral epiphysis (SCFE) has not been thoroughly established. Hormonal and genetic causes are the primary theories under discussion. There are some publications considerin...